MEDICARE: 911 HOME HEALTH CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598206419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	911 HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	5301 LAUREL CANYON BLVD STE 242
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2847
Country	:	US
Telephone Number	:	818-303-9590
Fax Number	:	818-392-4294

Provider Business Practice Location Address
First Line	:	5301 LAUREL CANYON BLVD STE 242
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2847
Country	:	US
Telephone Number	:	818-303-9590
Fax Number	:	818-392-4294

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. OGANES ABRAAMIAN
Credential	:
Telephone Number	:	818-303-9590

Provider Enumeration Date	:	03/10/2017
Last Update Date	:	07/21/2022

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